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President's Message

july 2022

This is Our Lane: Update on ACC/HRS opposition to the proposed CMS reduced reimbursement for EP ablations

Hello Maryland ACC Colleagues,

I wanted to provide an update on the proposed CMS cuts for EP ablation procedures and what the State Chapters, ACC and HRS are jointly doing to mitigate. ACC and HRS have launched a joint task force to address this problem which will involve advocacy, education, and communication to members. We will especially need engagement of our EP members, so you should look for messages with opportunities to advocate. Despite the combined advocacy efforts of HRS, ACC, and AMA RUC since July 2021, the Centers for Medicare & Medicaid Services (CMS) have announced its CY 2023 Medicare Physician Fee Schedule Proposed Rule that will:

      • Drastically reduce reimbursement for SVT, VT, and AF ablations (codes 93653, 93654, and 93656)
      • Maintain reduced values for add-on codes to ablate arrhythmias (code 93655) and treat AF ablation (code 93657)

These reductions are significant, unprecedented, and unsubstantiated. To combat these cuts, we need a multi-faceted, urgent response strategy, including, but not limited to:

      • Member activation for grassroots campaigns.
      • Continued collaboration with sister organizations, patient advocacy groups, industry partners, and legislative advisors. Please speak to your EP colleagues about this in Maryland and send MD Chapter any questions to 
      • Persistent communication with CMS

Here is the ACC press release on this issue: CMS Releases Proposed OPPS Rule - American College of Cardiology (

How Can You Help? Please take action and amplify our message to CMS: Action Alerts - American College of Cardiology (

ACC and HRS do not agree with or accept these proposed reductions and will continue advocating aggressively against their enactment, which is scheduled for January 1, 2023. Members of both organizations are urged to utilize ACC's Action Alert system to share their opposition to these reductions through comments to the Agency before the comment period closes September 6. 

ACC and HRS both support and work to help develop reimbursement models that recognize the reality of limited CMS funding for health services, that reward high quality and high valued outcomes, that align incentives of payers, patients, and providers, and that are a fair reflection of clinician work. ACC and HRS will continue to advocate vigorously for our members to mitigate these cuts and will update you accordingly with our efforts and calls for action

I thank you for your commitment to the ACC and our Maryland Chapter.

Garima Sharma, MD, FACC

President, Maryland ACC

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Contemporary Topics in Cardiology Series

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Time: 7:00pm EDT

Location: Zoom

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